Gayathri Krishna Kumar, MD | |
50 North St, Medfield, MA 02052-1654 | |
(508) 359-1519 | |
Not Available |
Full Name | Gayathri Krishna Kumar |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 50 North St, Medfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790795441 | NPI | - | NPPES |
287013 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28701 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 2014-01777 (North Carolina) | Primary |
Entity Name | Lifeline Primary Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639426984 PECOS PAC ID: 3476709304 Enrollment ID: O20120809000151 |
Entity Name | Lifeline Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245658285 PECOS PAC ID: 6002138617 Enrollment ID: O20141210002206 |
Mailing Address | Practice Location Address |
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Gayathri Krishna Kumar, MD 2620 New Bern Ave, Raleigh, NC 27610-1821 Ph: (919) 255-6721 | Gayathri Krishna Kumar, MD 50 North St, Medfield, MA 02052-1654 Ph: (508) 359-1519 |
Laura Ann Garelick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 North St, Family Practice Associates, Medfield, MA 02052 Phone: 508-359-1519 Fax: 508-359-4345 | |
Ellen Cy Kwan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 North St, Medfield, MA 02052 Phone: 508-359-1519 Fax: 508-359-4345 | |
Dr. Maura E Shaughnessy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 North Street, Medfield, MA 02052 Phone: 508-359-1519 Fax: 508-359-4345 | |
Hannah H Vu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 North St, Medfield, MA 02052 Phone: 508-359-1519 | |
Debra Susan Gerstein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 North St, Family Practice Associates, Medfield, MA 02052 Phone: 508-359-1519 Fax: 508-359-4345 |